Cultura

Ethical, Legal, And Professional Dimensions Of Artificial Intelligence–Enabled Radiology And Respiratory Therapy Collaboration In Lung Cancer Diagnosis And Management: A Scoping Review

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Saeed Saad Alshahrani, Abdullah Hilayel Alshammari, Mohammed Ali Alshamran, Mohammed Tayel Alhafi, Nawaf Monahi Al Ajmi
Jassim Mohammed Al shabibl, Jaber Mubarak Alhajri, Khalid Atiyah Alzahrani, Mohammed Feraih Al shammari, Azzam Mohammed Alkhodair

Abstract

Artificial intelligence (AI) is increasingly integrated into lung cancer care, particularly within radiology and respiratory therapy, where it supports early detection, diagnostic accuracy, and longitudinal disease management. While the technical capabilities of AI have been widely explored, less attention has been given to the ethical, legal, and professional implications arising from AI-enabled collaboration between these disciplines. This scoping review aims to map and synthesize the existing literature addressing the ethical, legal, and professional dimensions of AI-supported radiology and respiratory therapy collaboration in lung cancer diagnosis and management.                                                                                                    

A scoping review methodology was employed in accordance with the PRISMA-ScR guidelines. Electronic databases including PubMed, Scopus, Web of Science, and  IEEE Xplore were searched for English-language publications published between 2010 and 2024. Eligible sources included empirical studies, reviews, policy documents, and ethical or legal analyses addressing AI applications in radiology and/or respiratory therapy within lung cancer care.                                                 

The findings reveal three interrelated thematic domains. Ethically, major concerns include data privacy, informed consent, algorithmic bias, transparency, and the risk of over-reliance on AI systems. Legally, unresolved issues surrounding liability, regulatory classification of AI as medical devices, data protection compliance, and cross-jurisdictional governance persist. Professionally, AI integration is reshaping clinical roles, interprofessional collaboration, education, and clinical culture, highlighting the need for new competencies and collaborative governance models.

Overall, the review demonstrates that successful AI integration in lung cancer care depends not only on technological performance but also on ethical responsibility, legal clarity, and adaptive professional collaboration. These findings support the need for interdisciplinary frameworks that align AI innovation with human-centered, culturally informed healthcare practice.

Keywords : Artificial intelligence; Lung cancer; Radiology; Respiratory therapy; Ethics; Health law; Interprofessional collaboration; Professional culture; Scoping review.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty